REGISTRATION FORM
Date: 2019-09-17 Reg. No.: 2026/36 Center Code: 2026 Name : Mohd Ahtesham Father s Name : Mohd Asghar Date Of Birth : 1998-06-20 Contact Address (Correspondence) : Sambhal Contact Address (Permanent) : Sambhal Contact Details : (R) (O) (M)  Name Of Course : Diploma course in Mechanical CAD Software Covered :  Course Fee : 13000 Rs GST : 0 Rs Total Fee : 13000 Rs I have read the terms & conditions printed overleaf, Understood the same and here by confirm having accepted the same for joining the course For : MORADABAD UTTAR PRADESH         Student s Signature Authorised Center (Seal & Signature)